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Mississippi rates for HCPCS J9204

Injection Mogamulizumab-Kpkc 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.92 / $298.20 / $298.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.50 / $250.98 / $298.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.92 / $181.92 / $200.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.87 / $200.87 / $204.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.32 / $248.50 / $248.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.50 / $248.50 / $248.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.17 / $243.63 / $324.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.34 / $248.34 / $248.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.08 / $248.50 / $328.02